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HomeMy WebLinkAboutPermit Electrical 2010-4-29 City Of Springfield 225 Fifth 5t. Springfield, OR 97477 Phone: 541-726-3753 EmaH: permilcenter@ci.springfield.or.us Residential Electrical Authorization To Begin Work 69600-BEL-10-00185 Approval Code: 015610 4/29/2010 9:20 am E.mailed To: burrellbros@integraonline.com PLAN,REVIEW J D New Construction ~r;,,_;J;YPEQi;WORK',_-;: .~.', IRl Addition/alteration/replacement k 'c /:,,) ;."~i~ ...;:';-LCA:r~GbRy.qF CqNSTRUCTION"" [g] 1 or 2 family dwelling o Multi-family 0 Commercial o Accessory I.e "i"fr/ JOB SITE INF,ORMATIONANb LOCATION3~\ '15' Job Address: 1651 MAIN ST , .,~"..< :l""'~/ . ~ CityfStatelZIP: SPRINGFIELD, OR 97477 Suite/bldg.lapt.no.: Project Name: Cross Street/directions to job site: Tax map/parcel no.: 1703363104900 Rewire the entire house \ " .SITE CONT,o;Cr -, "..~,c , . Name: ROQer Piper Phone: 541-747-5526 Fax: Email: ,,,c~ ..-0 :~ ., ,CONTRACTOR' , ,..' ...... ..,.;~~t 1'.-1, Elec lie. no.: 20-442C CCB lie. no.: Business Name: BURRELL BROS ENTERPRISES INC :~~:;:t' ::::.:~.\. . ..',-,.~.. Contact: . "':)."-" /...i'lf H":i' Address: PO BOX 697 " CityfStatefZIP: WAL TERVILLE, OR Phone: 5~ ~ 1 ',t', -.;~:~:;'.,. 974890697 EXPl~5~I7J Em.;" bU~ I ;1:IN~ER THIS Melmlio.'na:lMMENCED OR I ,,,) Supervisil}gr~llIct~hflJl,J1 ' Supervising Electrician's Name: JOSHUA J BURRELL Number of inspections included in paid services: Residential Sewice' 4 Reconnect Only: 1 All Other Services: 2 Upon review ant:! approval by your local jurisdiction, your permit will be e-malled or faxed within one business day, with Instructions on howtoschedule your I flspectiofl. NOTE: This Authortzation To Beglfl Work expires within 180 days If a permit Is not obtained. The local building department may determine thai an Authorization To Begin Work Is null and void If It doe5 flot meet applicable land use laW5 and localordinanceli. Please check all that apply: D A sewice or feeder beginning at 400 Amps where the available fault CUHef'lt exceeds 10,000 Amps at 150 Volts or less to ground exceeds 14,000 Amps for all other D Fire pumps D Emergency systems D Addition of a new motor load of 100 HP or more D Six or more residential units in one structure D Health care facilities 1,000 sq, ft. or less Ei'ectricaI;PeriTI'it-Fees Subtotal State surcharge {12% of permit total Technoiogy fee (5% of permit total) TOTAL PERMIT FEE Oo-L/IO c..IO-lfIO D Hazardous locations D A sewice or feeder rated at 600 amps or more o Buildings more than three star o Marinas and boat yardS o Floating buildings o Commercial.use agricultural buildings o Installation ofa 150 KVAor larger seperately derived sys o "A", "E", or "1-2" or"I-3" D Recreational Vehicle Parks D Supply voltage for more than 600 supply volts nominal $134.00 $16,08 $6.70 $156,78 ~ ~12qt(O ATTENTION: Oregon law requires you.t.o follow rules adopted by the Oregon Utility Notification Center. Those rUhle~t~ :~= In OAR 952-001-001 0 throug 0090 You may obtain caples of the rules b1 liin thecenter. (Note: the telellho~ nC:mb~r for the Oregon Utility NotlhcatiQl& Cimter is 1_800-332-2344). ~h-f)~ l><!V" cJ< ~W ^,~.9"'~ ~ 10,19' "t.t;,~~" ->< "j.Z I Inspecti;'ns 'P~o~~': 541-726-3769 ~"""','. .'''1 This Authorization To Begin Wo.r~,:~,us~ be posted at the job site until replaced by a Permit Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM20I0-00410 ISSUED: 04/02/2010 APPLIED: 04/02/2010 EXPIRES:' ]0/02/20]0 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 1651 MAIN ST ASSESSOR'S PARCEL NO.: 1703363104900 '. . c, Springfield TYPE OF WORK: Electrical Work Only TYPE OF USE: New Commercial PROJECT DESCRIPTION: Service, two circuits, and complete re-wire for fire damage in APT. I - See CIO-380 for Fire Damage Reports Owner: PIPER ROGER W & JANICE A Address: 1150 S 58TH ST SPRINGFIELD OR 97478 Phone Number: 541-741-7813 I CONTRACTOR INFORMATION I Contractor Type Electrical Contractor License BURRELL BROS ENTERPRISES INC 136446 BUILDING INFORMATION ~ Expiration Date 08/20/2011 Phone 541-747-2724 # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: # of Stories: Heigbt of Structure Type of Heat: Water Type: Ra.nge.:ryp~: EnergYPath: . .. "I,' Sprinkled Building: Lot Size: Sq Ft I st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport . Sq Ft Other: Occupant Load: n/a I DEVELOPMENT INFORMA TION I REQUIRED PARKING Front yard Setback: Overlay Dist: Side I Setback: # Street Trees Rqd: Side 2 Setback: Paved Drive Rqd: Rearyard S~~ack: If lHE \NOR\( % of Lot Coverage: sOI~~e~\GII<s: SrlJI.\..\.. E')(I'IRE M\1 IS NOl . ATTENTION: Oregon law req~~e~X~ili~Y ~Ul\10RI7.ED UN IS Jl.BJl.NOONE.O UBLIC IMPROVEMENT tifjcation Center, Those rUle~:~e9~e2 ~01. . ""c~w.>'O OR nOAR~-0~1:!l.010thrOugh 1- b Stree\'fmprovemeotspE.RIOO.' 0090 f6'(l?r.tttd'Gl'tfl'l copies of the ru es Y ,,,,, 1 RO O{\'( " ... INnl~: the telephone Storm Sewer Available: calh~lisl'\l\lr:i!Dl'tllntJtTty Notification Special Instruction: number for the Oregon II ) Center is 1_800-332-2344 . Total: Handicapped: Compact: Notes: Description Type of Construction I Valuation Description ~ ~_l.~!_ , $ Per 8q:Ft::,; :1'" Square Footage or multiplier '. or Bid Amount Value Date Calculated Page I of 2 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Fee Description + 12% State Surcharge + 5% Technology Fee Add, Alter, Extend Circ Ea Add Perm Serv/Fdr 200 amps or less + 12% State Surcharge + 5% Technology Fee Residence Wiring 1000 Sq Ft '- Total Amonnt Paid Total Value of Project L ~~es Paid ~ .~: ;~j, -',j'. Amount Paid 'i~ ,i $11.16' : $4.65 , $12.00 $81.00 $16.08 $6.70 $134.00 Date Paid 4/2/10 4/2/1 0 4/2/1 0 4/2/10 4/29/10 4/29/10 4/29/10 CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2010-00410, ISSUED: 04/02/2010 APPLIED: 04/02/2010 EXPIRES: 10/0212010 VALUE: Receipt Number 2201000000000000315 2201000000000000315 2201000000000000315 2201000000000000315 2201000000000000431 2201000000000000431 2201000000000000431 To Request an inspection call the 24 hour recording at 726-3769. All inspections requested before 7:00 a.m. will be made the same working day, inspections requested after 7:00 a.m. will be made the following work day. $265.59 I Plan Reviews ~ Rea'Ji~ed Insnections ~ ',r-' . .: .:,' :1:, Rough Electric: Prior to Cover Electric Service: Approval required prior to ntility company energizing service. Final Electric: When all electrical work is complete. ' By signature, 1 state and agree, that I have carefully examined the completed application and do herehy certify that all information hereon is true and correct, and I further certify that any and all work performed shall be done in.accordance with the Ordinauces of the City of Spriugfield and the Laws of the State of .oregon pertaining to the work described herein, aud that NO OCCUPANCY will be made of any structure without permission of the Community Services Division, Building Safety. 1 further certify that only contractors and employees who are in compliance with ORS 701.005 will be used on this project. I further agree to ensure that all required inspections are 'requested at the proper time, that each address is readable from the 'street, that the permit card is located at the front,of,the prope'rty, 'and the approved set of plans will remain on the site at all times during construction. Owner or Contractors Signature , ~. ~ ;.:!'. . J"ltl ;,I.';v.~a . .,t.~' <"1'1.,' ..' , ""Paee 2,.of 2. ,'., Date 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone City of Springfield Official Receipt Development Services Department Pnblic Works Department RECEIPT #: 2201000000000000431 Date: 04/29/2010 1I:30:15AM Paid By ONLINE PERMIT CHGS Item Total: Check Number Authorization Received By Batch Number Number How Received Amount Due 134.00 16.08 6.70 $156.78 Job/Journal Number COM20 1 0-0041 0 COM20 1 0-0041 0 COM20 1 0-0041 0 Description Residence Wiring 1000 Sq Ft + 12% State Surcharge + 5% Technology Fee Payments: Type of Payment ONLINE CHGS Amount Paid KR ONLINE BURRELL Online BROS Payment Total: $156.78 $156.78 ". , . "" . ! ~ ..-f." cReceintl Page 1 of I 4/29/2010